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The participants were not enrolled in a diet and exercise program, so there may be a more substantial change in body weight if this is supplemented as well

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Reactive oxygen species (ROS) and other free radicals can damage cellular components, including lipids, protein and DNA

Surg Obes Relat Dis 14(6):741747 King WC, Hinerman AS, Courcoulas AP (2020) Weight regain after bariatric surgery: a systematic literature review and comparison across studies using a large reference sample